Impact of Ureteral Stenting on Urological Complications After Kidney Transplantation Surgery: A Single-Center Experience

Hârza, M.; Baston, C.; Preda, Adrian; Olaru, V.; Ismail, Gener; Domnisor, L.; Daia, D.; Mitroi, I.; Baston, M.O.; Sinescu, I.

doi:10.1016/j.transproceed.2014.08.051

Cited by 27 publications

(33 citation statements)

References 10 publications

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“…Ureteral stenting at the time of transplant is now widely used, and although this practice has decreased the overall incidence of ureteral complication, the most common cause of early ureteral obstruction is a malpositioned, malfunctioning, or obstructed ureteral stent. [40][41][42][43] Manipulation of the stent can be difficult during the immediate postoperative period, so definitive management is usually performed with interventional radiology obtaining antegrade ureteral access using a percutaneous approach. 38 If narrowing or stricture is documented on antegrade nephrostoureterogram, antegrade transplant ureteral stenting and balloon dilation may be required.…”

Section: Urologic Complications and Postoperative Considerations In Tmentioning

confidence: 99%

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Urologic Considerations and Complications in Kidney Transplant Recipients

Carlo

Darras

2015

Advances in Chronic Kidney Disease

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Section: Urologic Complications and Postoperative Considerations In Tmentioning

confidence: 99%

“…[40][41][42][43] Postoperative cystoscopy with ureteral stent removal is typically performed 4 to 6 weeks post-transplant. Retained ureteral stents calcify as they act as a nidus for stone formation and can require ureteroscopy, percutaneous pyeloscopy, and laser lithotripsy for removal.…”

Section: Urologic Complications and Postoperative Considerations In Tmentioning

confidence: 99%

Urologic Considerations and Complications in Kidney Transplant Recipients

Carlo

Darras

2015

Advances in Chronic Kidney Disease

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“…On the other hand, considerable disadvantages of stenting are silent obstruction, stent migration, the need for cystoscopic removal or a forgotten stent [15,16]. Furthermore, an increase in UTI is observed in patients with a stent, unless prophylactic antibiotic treatment is administered [6,17,18]. In this study, we demonstrate that the incidence of UTI is comparable between 2 different types of stent.…”

Section: Discussionmentioning

confidence: 61%

“…We reason that this is possibly attributed to treating all patients in our study group with cotrimoxazole for pneumonia infection prophylaxis due to Pneumocystis jiroveci . In conclusion, recent studies show that there is still an active debate in the literature regarding whether routine ureteral stenting with a JJ stent is beneficial in renal transplantation [18,19,20]. …”

Section: Discussionmentioning

confidence: 99%

Internal or External Stenting of the Ureterovesical Anastomosis in Renal Transplantation

et al. 2015

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Background: Stenting of the ureterovesical anastomosis reduces the incidence of urological complications (UCs) after renal transplantation, but there are multiple stenting techniques, and there is no consensus regarding which technique is preferred. The aim of this study was to compare an internal versus an external stenting technique on the incidence of UCs. Methods: This is a retrospective analysis of 419 deceased donor renal transplantations performed between January 2008 and December 2013. Until 2011, 183 patients received an external stent through the ureterovesical anastomosis placed by suprapubic bladder puncture (SP stent). From 2011, 236 recipients received an internal double-J (JJ) stent. Results: The rate of UC was 3.8% in JJ stents, compared to 9.3% in SP stents (p = 0.021). No difference in surgical ureter revision rate was observed between the groups (2.1 vs. 5.5%; p = 0.068). Urinary tract infection (UTI) rate and graft function were comparable between both groups. Conclusions: Internal JJ stenting significantly decreased the incidence of UC compared to an external SP stent. There was no difference in surgical ureter revision rate, UTI or graft function.

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“…In accordance to the literature data, implantation of urinary stents can cause the infection of urinary tracks [17][18][19]. Another sources refute this statement [13][14][15][16]20] and indicate to the connection of true bacteriuria (>/105 colonies/ml [21]) after kidney transplantation not with the presence of stent but among the female recipients, long usage of bladder catheter and postponed function of renal allograft [14,15].…”

Section: Results and Their Discussionmentioning

confidence: 69%

Ureteric stent in renal transplantation: to be or not to be?

Vildanov

Nykonenko

Русанов

et al. 2016

ZMJ

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Urological complications after kidney transplantation is still now one of the main reasons of worsening operation results. Most surgeons pay a lot of attention to the urinary fistulae. At verifiable urinary fistulae the next tactics significantly depends on the presence of urinary stent.Subject of the work: to study the effectiveness of implantation as for double J-stents at kidney transplantation for prophylaxis of urinary fistulae. Materials and methods. The analyzed results of kidney transplantation among 66 patients from 2012 to 2016. There were 37 (56.1 %) men, the average age of patients was 33.4±12.4 years. All the patients on early after surgical period were done the monitoring of clinic-biological indexes, ultrasonic examination with scanning of renal allograft. As for the aim of the work all the patients were divided into two groups.The main group included 35 (53 %) recipients with kidney allografts, everyone of them was set uretero-bladder anastomosis on the double J-stent during the period from 11.2013 to 06.2016. The average age of patients was 32.6±9.2 years, there were 17 (48.6 %) men, 18 women (51.4 %).Controlling group involved 31 (47 %) patients. During the period from 01.2012 to 10.2013 at kidney transplantation urinary stents were not used among the patients. The average age of recipients was 34.3±15.3 years, there were 20 (64.5 %) men, 11 women (35.5 %).Results. According to the analysis of our clinic material the implantation of J-stent at kidney transplantation for prophylaxis of urinary fistulae is reliably (p<0.05) effective. In our research there is no connection (p>0.05) with the infection of urinary tracks with the presence of urinary stent.Conclusions. Implantation of J-stent is effective and safe method of surgical prophylaxis of urinary fistulae and it can be routinely applied at kidney transplantation. Zaporozhye medical journal 2016; №5 (98): 43-46Сечовідний стент при трансплантації нирки: бути чи не бути?Урологічні ускладнення після трансплантації нирки залишаються однією з основних причин погіршення результатів операції. Біль-шість хірургів приділяють найпильнішу увагу сечовим затьокам. Під час верифікованого сечового затьоку подальша тактика більшою мірою залежить від наявності сечовідного стенту.Мета роботи -вивчити ефективність імплантації подвійних J-подібних сечовідних стентів при пересадці нирки для профілактики сечового затьоку.Матеріали та методи. Проаналізовані результати трансплантації нирки 66 хворих за період 2012-2016 рр. Чоловіків було 37 (56,1 %), середній вік -33,4±12,4 року. Всім пацієнтам у ранньому післяопераційному періоді виконувався моніторинг клініко-біохімічних показників, ультразвукове дослідження з дуплексним скануванням ниркового алотрансплантату. Згідно з метою роботи пацієнти були поділені на дві групи. Основну групу становили 35 (53 %) реципієнтів ниркового алотрансплантату, яким у період з 11.2013 по 06.2016 р. сечовідно-міхуровий анастомоз формували на подвійному J-подібному сечовідному стенті. Середній вік пацієнтів -32,6±9,2 року, чоловіків бул...

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Impact of Ureteral Stenting on Urological Complications After Kidney Transplantation Surgery: A Single-Center Experience

Cited by 27 publications

References 10 publications

Urologic Considerations and Complications in Kidney Transplant Recipients

Urologic Considerations and Complications in Kidney Transplant Recipients

Internal or External Stenting of the Ureterovesical Anastomosis in Renal Transplantation

Ureteric stent in renal transplantation: to be or not to be?

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